Comparative study of the reliability of frontal and maxillary sinuses in sex identification using multidetector computed tomography among Egyptians

Ibrahim, Mahrous A.; Abdel-Karim, Rehab I.; Ibrahim, Mohammed Ahmed; Dar, Umar Farooq

doi:10.1016/j.fri.2020.200390

Cited by 9 publications

(25 citation statements)

References 36 publications

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“…According to the literature [32,38,48,50,55,57,62], the present data revealed a significant difference in FS and MS volumes between males and females. These results can be correlated with the overall difference in skull size between sexes, which persists in modern humans, and other linear measurements such as height, width, and depth in different ethnic groups [64].…”

Section: Discussionsupporting

confidence: 73%

“…The conclusions of the studies included in this review were limited because the accuracy obtained for all parameters evaluated was considered moderate. Only two studies applied comparable measurement methodologies for the maxillary and frontal sinuses [37, 38]. Furthermore, the same software (RadiAnt) was used in these two studies (Medixant, Poznan‐Poland) with similar FOV sizes.…”

Section: Discussionmentioning

confidence: 99%

“…Turkish individuals in the study of Ekizoglu et al [50] exhibited the most significant distance difference in terms of sexual dimorphism. For the FS width measurement, Egyptian [3,38,56] and Indian [60] studies presented the most significant differences between females and males. MS and FS volumes showed a marked difference among the studies categorized by country.…”

Section: Discussionmentioning

confidence: 99%

“…Five studies assessed the MS volume with a product that was calculated using linear measurements [38,48,50,55,62]. Only three studies performed frontal sinus volume assessments [31,38,57].…”

Section: Characteristics Of the Studiesmentioning

confidence: 99%

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Diagnostic accuracy of paranasal sinus measurements on multislice computed tomography for sex estimation: A systematic review, meta‐analysis, and meta‐regression

Mendonça

Ribeiro

Silva

et al. 2022

Journal of Forensic Sciences

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This systematic review aimed to answer the question, "Are paranasal measurements obtained with multislice computed tomography able to accurately estimate sex?" This PROSPERO-registered systematic review included six databases and gray literature.Meta-analysis of linear and volumetric data was performed using a random-effects model, mean differences (MDs), and inverse variance. The QUADAS-2 tool-related risk of bias (RoB) and certainty evidence (GRADE approach) were assessed. A total of 1651 articles were initially selected from the main electronic databases for title and abstract screening. After removing duplicates and studies that did not meet the inclusion criteria, 18 studies were eligible for the meta-analysis. The screened studies included 2507 computed tomography of non-pathologic paranasal sinuses of adults aged between 18 and 40 years. Frontal sinus (FS) width (−4.89 mm; p < 0.00001) and maxillary sinus (MS) height (−3.73 mm; p < 0.00001) showed the greatest MD between females and males. Regarding volume, the MD was significant (p < 0.00001) in both paranasal sinuses (−3.01 and −1.04 cm 3 , respectively). The best sensitivity (ability to identify males) and specificity (ability to identify females) were found for the anteroposterior (72.3%) and intermaxillary (69%) MS distances, respectively. In general, all studies exhibited low RoB and applicability concerns. The certainty of the evidence was categorized as very low to moderate. Both paranasal sinuses were shown to be dimorphic structures, which could be valuable tools for forensic identification using the FS width and MS anteroposterior distance measurements. However, heterogeneity among studies must be considered.

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Section: Discussionsupporting

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Characteristics Of the Studiesmentioning

confidence: 99%

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Diagnostic accuracy of paranasal sinus measurements on multislice computed tomography for sex estimation: A systematic review, meta‐analysis, and meta‐regression

Mendonça

Ribeiro

Silva

et al. 2022

Journal of Forensic Sciences

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“…One of the radiological methods of image acquisition useful in human identification is Computed Tomography (CT), which can be obtained in the traditional way, in two-dimensional and three-dimensional images (Guillet et al, 2014). The tomographic film displays the name, sex and age of the patient, in addition, performed antemortem, CT provides information that can be used to produce a post-mortem replica, considering that craniometric points can be accurately located (Ibrahim et al, 2020).…”

Section: Forensic Identificationmentioning

confidence: 99%

Imaging protocols for the autopsy service in a time of pandemic emergency minimizing the contagion of SARS-CoV-2 expert government agents

Santos¹,

Dias²,

Silva³

2021

RSD

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Objective: To contribute to the construction of parameters of biosafety in order to protect government agents in the exercise of their investigative functions in the context of a pandemic, as well as to resolve clinical, pathological and possibly legal issues. Methodology: The development of an exploratory review study with a qualitative approach was defined. The methodological design was carried out on the platforms: PubMed and SciELO through the descriptors: Human identification, Radiology, Virtópsia and Autopsy. The exclusion criteria include articles with duplicate information or that do not have information related to the objectives of the study. For inclusion, materials published in Portuguese, English or Spanish were used and at the end 76 articles were obtained. Results and discussion: Conventional autopsy is the most common method for post-mortem investigation in humans. However, with the evolution of imaging methods and the current pandemic threatening the health of government agents, Virtópsia has shown itself to be the most promising way to remedy the dichotomy of occupational risk and legal benefit. Final considerations: In this article, the main advances in Forensic Radiology in the last 11 years were described, with regard to the use of ante and post mortem radiographs in the identification process. Among the various radiological techniques treated, the following stand out: radiographic techniques produced by radiology professionals with different assessments in the radiological area. The images produced are security methods with invasive manipulation and use of all PPE, suitable for the pandemic moment.

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No Bones About It: Sex Is Binary

Weiss

2024

Arch Sex Behav

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Comparative study of the reliability of frontal and maxillary sinuses in sex identification using multidetector computed tomography among Egyptians

Cited by 9 publications

References 36 publications

Diagnostic accuracy of paranasal sinus measurements on multislice computed tomography for sex estimation: A systematic review, meta‐analysis, and meta‐regression

Diagnostic accuracy of paranasal sinus measurements on multislice computed tomography for sex estimation: A systematic review, meta‐analysis, and meta‐regression

Imaging protocols for the autopsy service in a time of pandemic emergency minimizing the contagion of SARS-CoV-2 expert government agents

No Bones About It: Sex Is Binary

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